Leakage after Single Anastomotic Gastric Bypass Surgery

Abstract

orbid obesity is one of the major health problems of the 21st century which has a steadily increasing incidence, representing approximately 10% of the world‘s population and considered as the second leading cause of preventable death after smoking. Annually, obesity-related diseases account for 400,000 of premature deaths. Management of Obesity can be done by many possible ways like diet regimens, physical exercises, pharmacological, surgical management (Bariatric Surgery) or combinations of any of them together, but current medical therapies for the obesity remain inadequate and bariatric surgery is more effective in achieving weight loss in adults with obesity than nonsurgical weight loss interventions and because of that bariatric surgery is currently the only effective treatment for morbid obesity. Surgical management includes: purely restrictive operations, purely malabsorptive (which have been abandoned due to severe side effects) and combined procedures. Gastric restrictive procedures currently include laparoscopic adjustable gastric banding and sleeve gastrectomy, but the placement of an implantable device or the irreversible resection of gastric tissue has limited the acceptance of these procedures by some patients, referring physicians, and surgeons